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Sleep disorders in obese children are not limited to obstructive sleep apnoea syndrome

Caroline Carriere1, Olivier Coste2, Marie-Claire Meiffred-Drouet3

  • 1Réseau de Prévention et de Prise en charge de l' Obésité Pédiatrique - RéPPOP - en Aquitaine, Bordeaux, France.

Acta Paediatrica (Oslo, Norway : 1992)
|December 8, 2017
PubMed

Insights

Obese children frequently have sleep disorders beyond respiratory issues, including insomnia and hypersomnia. A specialized sleep consultation is crucial for accurate diagnosis and effective management in pediatric obesity care.

Area of Science:

  • Pediatric Endocrinology
  • Sleep Medicine
  • Obesity Research

Background:

  • Obesity in children is associated with various health complications, including sleep disturbances.
  • Identifying and managing sleep disorders is critical for comprehensive pediatric obesity care.

Purpose of the Study:

  • To characterize the spectrum of respiratory and non-respiratory sleep disorders in obese children.
  • To evaluate the impact of a specialized sleep consultation on diagnosis and treatment.

Main Methods:

  • A descriptive study of 128 obese French children (mean age 12.1 years) who underwent a specific sleep consultation between 2007 and 2015.
  • Data collected included symptoms suggestive of sleep disorders, polysomnography findings, and subsequent referrals and treatments.

Main Results:

  • A sleep disorder was confirmed in 98.4% of children.
  • Respiratory sleep disorders were present in 46.1%, with Obstructive Sleep Apnoea Syndrome (OSAS) in 24.2%.
  • Other diagnosed disorders included hypersomnolence, insomnia, and circadian rhythm sleep-wake disorders. Management involved referrals to ENT and orthodontics, melatonin treatment, and CPAP ventilation.

Conclusions:

  • Sleep disorders in obese children are diverse, extending beyond Obstructive Sleep Apnoea Syndrome (OSAS).
  • A systematic sleep consultation is essential for diagnosing and managing sleep disorders in this population.
  • Integrating sleep specialist consultations into pediatric obesity management improves patient care and outcomes.
Abstract

Keywords:
ObesityObstructive sleep apnoea syndromePaediatricSleep disordersSleep specialist

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